The client who has the medical diagnosis of Alzheimer’s disease is confused and has difficulty interpreting environmental stimuli. Which nursing diagnosis problem statement most accurately describes this client’s situation?
1. Acute Confusion
2. Altered Role Performance
3. Disturbed Sensory Perception
4. Disturbed Thought Processes
ANSWER
Correct Answer: 4
Rationale 1: Clients with Alzheimer’s disease are more likely to exhibit chronic confusion.
Rationale 2: There is no evidence to support Altered Role Performance.
Rationale 3: Disturbed Sensory Perception is more useful with the client who has difficulty related to sensory input (perception).
Rationale 4: Because this client has dementia, which interferes with the ability to interpret stimuli, the correct diagnosis problem statement is Disturbed Thought Processes.
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